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Organization

KENNETH L WILLIAMS D.D.S. P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH L WILLIAMS D.D.S. (PRESIDENT)
(620) 431-3000
Entity
Organization

Contact information

Practice address
2607 S SANTA FE AVE, CHANUTE, KS 66720-3206
(620) 431-3000
(620) 431-6122
Mailing address
2607 S SANTA FE AVE, CHANUTE, KS 66720-3206
(620) 431-3000
(620) 431-6122

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6093
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100222900-A
KS
01
8522
BC/BS PROVIDER #
KS
Enumeration date
01/09/2006
Last updated
01/23/2014
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